CNA COMMERCIAL LINES Workfile ID: b34b24d0. Supplement of Record 1 with Summary. Owner: Pools By Blue Haven, Inc. Job Number:

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1 CNA COMMERCIAL LINES Workfile ID: b34b24d0 ***ASI Estimate Audit*** 2123 EastView Parkway Conyers, GA Phone: (800) , FAX:(800) Written By: David Savino Adjuster: BOHON, READ, (610) Business Insured: Pools By Blue Haven, Inc. Policy #: Claim #: E2D Type of Loss: Collision Date of Loss: 3/17/2017 5:00 AM Days to Repair: 3 Point of Impact: 12 Front Owner: Inspection Location: Repair Facility: Pools By Blue Haven, Inc Research Rd E&S RESEARCH 7575 N Loop 1604 W Austin, TX RESEARCH BLVD Ste 101 Repair Facility AUSTIN, TX San Antonio, TX (512) Business (210) Business VEHICLE VIN: 1GTEC14029Z Production Date: Interior Color: License: Odometer: Exterior Color: White State: Condition: TRANSMISSION CONVENIENCE CD Player Hands Free Device Automatic Transmission Intermittent Wipers Satellite Radio SEATS Overdrive Tilt Wheel SAFETY Reclining/Lounge Seats POWER Message Center Drivers Side Air Bag WHEELS Power Steering RADIO Passenger Air Bag Styled Steel Wheels Power Brakes AM Radio Anti-Lock Brakes (4) PAINT DECOR FM Radio Traction Control Clear Coat Paint Dual Mirrors Stereo Stability Control TRUCK Tinted Glass Search/Seek Communications System Rear Step Bumper 4/17/2017 7:12:20 AM Page 1

2 Line Oper Description Part Number Qty Extended Price $ 1 INFORMATION LABELS 2 Rpl information labels Repl Emission label Incl. 4 Repl Caution label A/C & battery Incl. 5 FRONT BUMPER 6 O/H front bumper ** Repl A/M CAPA Air deflector 1/2 ton w/o Denali Labor Incl. Note: LOCATED AFTERMARKET PART AT KEYSTONE AUTOMOTIVE = QUOTE # ** Repl Opt OEM Bumper chrome w/max towing Incl. Note: ATTEMPTED TO LOCATE SALVAGE PART VIA CARPART.COM AND LKQ CORP. PART NOT AVAILABLE. LOCATED OPT OEM WITH LKQ CORP = QUOTE # ** Repl A/M KEYSIQ License bracket w/o Denali 10 ** Repl A/M CAPA Upper cap 1/2 ton primed Note: LOCATED AFTERMARKET PART AT KEYSTONE AUTOMOTIVE = QUOTE # Paint Incl. 1.5 Note: LOCATED AFTERMARKET PART AT KEYSTONE AUTOMOTIVE = QUOTE # Add for Clear Coat ** Repl A/M CAPA Center support 1/2 ton Incl. Note: LOCATED AFTERMARKET PART AT KEYSTONE AUTOMOTIVE = QUOTE # ** S01 Repl A/M RT Inner bracket 1/2 ton Incl. 14 ** S01 Repl A/M LT Inner bracket 1/2 ton Incl. 15 ** S01 Repl A/M NSF RT Outer bracket Incl. 16 ** S01 Repl A/M NSF LT Outer bracket Incl. 17 GRILLE 18 * S01 Repl LKQ Grille 1/2 ton, w/o Denali chrome, w/o appearance pkg +25% 19 FRONT LAMPS Incl. 20 ** S01 Repl A/M CAPA RT Headlamp assy Incl. Note: SHOP LOCATED ALTERNATE REPLACEMENT PART, PER OWNER SUPPLIED ESTIMATE. PRICE IS IN LINE. 21 Repl Aim headlamps ** S01 Repl A/M NSF LT Headlamp assy Incl. 23 RADIATOR SUPPORT 24 ** S01 Repl A/M KEYSIQ Radiator support s S01 Add for trans cooler m 0.3 M 26 S01 Repl Lower shield Incl. 27 S01 Repl RT Outer bracket GMC S01 Repl LT Outer bracket GMC S01 Repl Stop bracket COOLING 31 S01 Repl Lower baffle GMC /17/2017 7:12:20 AM Page 2

3 32 ** S01 Repl A/M KEYSIQ Radiator 5.3 liter w/o heavy duty m Incl. M 33 # S01 Repl Antifreeze GM Dexcool S01 Repl Upper panel GMC Incl. 35 S01 R&I LT Side baffle GMC S01 R&I RT Side baffle GMC ** S01 Repl A/M KEYSIQ Shroud w/o max towing pkg m Incl. 38 * S01 R&I P/S cooler m 0.3 M 39 * S01 R&I Trans cooler m 0.2 M 40 AIR CONDITIONER & HEATER 41 ** S01 Repl A/M KEYSIQ Condenser m Incl. M 42 S01 AC Service evacuate & recharge m 1.4 M 43 S01 AC Service refrigerant recovery m 0.4 M 44 HOOD 45 ** S01 Repl A/M CAPA Hood S01 Add for Clear Coat S01 Add for Underside(Complete) S01 Add for Clear Coat S01 Repl Front molding w/chrome S01 Repl Lock assy w/o anti-theft Incl. 51 FENDER 52 Blnd RT Fender GMC 1.0 Note: BLENDING PANEL SO AS TO BETTER MATCH ADJACENT REPLACED PANEL 53 Blnd LT Fender GMC MISCELLANEOUS OPERATIONS Note: BLENDING PANEL SO AS TO BETTER MATCH ADJACENT REPLACED PANEL 55 * Repl Cover car/bag # Repl Mask for jambs # Flex Additive # Adjustment for rates to reach agreed price with shop Note: THE LABOR/REFINISH RATES ON THIS ESTIMATE ARE BEING ALLOWED AS A ONE-TIME CONCESSION TO THE SHOP TO REACH AN AGREED PRICE. 59 OTHER CHARGES 60 # E.P.C SUBTOTALS 4, NOTES Estimate Notes: *********************** SUPP - THE ATTACHED SUPPLEMENTAL REVIEW HAS BEEN PREPARED UTILIZING A SUPPLEMENT WRITTEN BY THE BODY SHOP OF THE VEHICLE OWNERS CHOICE. THE SUPPLEMENT APPEARS TO BE CONSISTENT WITH THE ORIGINAL DAMAGES REPORTED. PHOTOS & INVOICES HAVE BEEN SUPPLIED BY THE REPAIRER AND ARE ON FILE AT ASI. THIS SUPPLEMENT DOES NOT CONTAIN ANY ITEMS REMOVED OR MODIFIED DURING THE ORIGINAL ESTIMATE REVIEW. 4/17/2017 7:12:20 AM Page 3

4 SUPP COPY ED AND/OR FAXED TO SHOP. *********************** AN AGREED COST OF REPAIRS HAS BEEN SECURED WITH MANUEL AT THE SHOP ON 1001 EST. ESTIMATE COPY FAXED TO SHOP. VEHICLE IS DRIVEABLE. *** SUPPLEMENT INFORMATION *** PLEASE SEND SUPPLEMENT DOCUMENTATION AND PHOTOS TO SUPPLEMENTS@ASICLAIMS.COM. SUPPLEMENTS CANNOT BE UPLOADED BACK THROUGH CCC ONE BUT MUST BE FAXED TO (800) OR ED TO SUPPLEMENTS@ASICLAIMS.COM. PLEASE CONTACT DAVID AT (800) EXT 6771 FOR ALL SUPPLEMENTS. SUPPLEMENTS WILL NOT BE PROCESSED WITHOUT PRIOR APPROVAL AND SUPPORTING DOCUMENTATION INCLUDING PARTS INVOICES AND PHOTOS. *** SUPPLEMENT INFORMATION *** DAVID SAVINO # / / / / IA / / / / / / / W / / ESTIMATE TOTALS Category Basis Rate Cost $ Parts 4, Body Labor 12.8 $ /hr Paint Labor 10.5 $ /hr Mechanical Labor 2.6 $ /hr Paint Supplies 10.5 $ /hr Other Charges 5.00 Subtotal 5, Sales Tax $ % Total Cost of Repairs 6, Deductible 1, Total Adjustments 1, Net Cost of Repairs 5, MyPriceLink Estimate ID: /17/2017 7:12:20 AM Page 4

5 SUPPLEMENT SUMMARY Line Oper Description Part Number Qty Extended Price $ Changed Items 15 ** Repl A/M CAPA RT Headlamp assy Labor NOTE: SHOP LOCATED ALTERNATE REPLACEMENT PART, PER OWNER SUPPLIED ESTIMATE. PRICE IS IN LINE. 20 ** S01 Repl A/M CAPA RT Headlamp assy Incl. Deleted Items 13 GRILLE NOTE: SHOP LOCATED ALTERNATE REPLACEMENT PART, PER OWNER SUPPLIED ESTIMATE. PRICE IS IN LINE. 14 ** Repl Opt OEM Grille 1/2 ton, w/o Denali chrome, w/o appearance pkg +25% Incl. NOTE: ATTEMPTED TO LOCATE AFTERMARKET PART VIA KEYSTONE AUTOMOTIVE. PART NOT COST EFFECTIVE. LOCATED OPT OEM WITH LKQ CORP = QUOTE # R&I LT Headlamp assy HOOD 20 * Repl LKQ hood +25% NOTE: ATTEMPTED TO LOCATE AFTERMARKET PART VIA KEYSTONE AUTOMOTIVE. PART NOT COST EFFECTIVE AT TIME OF REVIEW. LKQ CORP = QUOTE # Add for Clear Coat Refn hood underside * Repl LKQ Front molding w/chrome Incl NOTE: INCLUED WITH HOOD LOCATED LKQ CORP = QUOTE # * Repl LKQ Insulator Incl Added Items NOTE: INCLUED WITH HOOD LOCATED LKQ CORP = QUOTE # ** S01 Repl A/M RT Inner bracket 1/2 ton Incl. 14 ** S01 Repl A/M LT Inner bracket 1/2 ton Incl. 15 ** S01 Repl A/M NSF RT Outer bracket Incl. 16 ** S01 Repl A/M NSF LT Outer bracket Incl. 17 GRILLE 18 * S01 Repl LKQ Grille 1/2 ton, w/o Denali chrome, w/o appearance pkg +25% Incl. 22 ** S01 Repl A/M NSF LT Headlamp assy Incl. 23 RADIATOR SUPPORT 24 ** S01 Repl A/M KEYSIQ Radiator support s S01 Add for trans cooler m 0.3 M 26 S01 Repl Lower shield Incl. 27 S01 Repl RT Outer bracket GMC S01 Repl LT Outer bracket GMC S01 Repl Stop bracket COOLING 31 S01 Repl Lower baffle GMC Paint 4/17/2017 7:12:20 AM Page 5

6 32 ** S01 Repl A/M KEYSIQ Radiator 5.3 liter w/o heavy duty m Incl. M 33 # S01 Repl Antifreeze GM Dexcool S01 Repl Upper panel GMC Incl. 35 S01 R&I LT Side baffle GMC S01 R&I RT Side baffle GMC ** S01 Repl A/M KEYSIQ Shroud w/o max towing pkg m Incl. 38 * S01 R&I P/S cooler m 0.3 M 39 * S01 R&I Trans cooler m 0.2 M 40 AIR CONDITIONER & HEATER 41 ** S01 Repl A/M KEYSIQ Condenser m Incl. M 42 S01 AC Service evacuate & recharge m 1.4 M 43 S01 AC Service refrigerant recovery m 0.4 M 44 HOOD 45 ** S01 Repl A/M CAPA Hood S01 Add for Clear Coat S01 Add for Underside(Complete) S01 Add for Clear Coat S01 Repl Front molding w/chrome S01 Repl Lock assy w/o anti-theft Incl. SUBTOTALS 2, CHANGES TO ADJUSTMENTS TOTALS SUMMARY Category Basis Rate Cost $ Parts 2, Body Labor 6.9 $ /hr Paint Labor 0.4 $ /hr Mechanical Labor 2.6 $ /hr Paint Supplies 0.4 $ /hr Subtotal 2, Sales Tax $ % Total Supplement Amount 2, NET COST OF SUPPLEMENT 2, MyPriceLink Estimate ID: /17/2017 7:12:20 AM Page 6

7 CUMULATIVE EFFECTS OF SUPPLEMENT(S) Estimate 3, David Savino Supplement S01 2, David Savino Workfile Total: $ 6, TOTAL ADJUSTMENTS: $ 1, NET COST OF REPAIRS: $ 5, THIS ESTIMATE AUDIT DOES NOT REPRESENT AUTHORIZATION TO REPAIR OR AN ACCEPTANCE/DETERMINATION OF LIABILITY. THIS ESTIMATE AUDIT DOES NOT CONFIRM THAT PAYMENT WILL BE ISSUED. SIGNED AUTHORIZATION MUST BE OBTAINED BY THE REPAIR FACILITY FROM THE VEHICLE OWNER PRIOR TO STARTING REPAIR. THE VEHICLE OWNER SHOULD CONFIRM COVERAGE WITH HIS /HER CLAIM REPRESENTATIVE PRIOR TO SIGNING ANY REPAIR AUTHORIZATION. A COPY OF THIS ESTIMATE AUDIT MUST BE PRESENTED TO THE REPAIR SHOP OF YOUR CHOICE PRIOR TO THE START OF REPAIRS. ALL SUPPLEMENTS REQUIRE PRIOR APPROVAL. PLEASE CALL (800) FOR ANY QUESTIONS REGARDING SUPPLEMENTS ETC. IF ALTERNATIVE QUALITY REPLACEMENT PARTS HAVE BEEN INCLUDED IN THIS APPRAISAL, THE SOURCE FOR THESE PARTS HAS ALSO BEEN DISCLOSED. IF NON-ORIGINAL EQUIPMENT MANUFACTURER REPLACEMENT PARTS, AS LISTED ON THE APPRAISAL, ARE ULTIMATELY USED IN THE REPAIR OF YOUR VEHICLE, THE WARRANTY ON SUCH PARTS WILL BE EQUAL TO, OR GREATER THAN, THE PARTS BEING REPLACED. THE INSURER WARRANTS THAT THE PARTS USED ON YOUR VEHICLE WILL BE OF LIKE KIND AND QUALITY, FUNCTION, FIT, SAFETY, PERFORMANCE AND CORROSION PROTECTION AS THE PART OR PARTS THEY REPLACE. 4/17/2017 7:12:20 AM Page 7

8 Estimate based on MOTOR CRASH ESTIMATING GUIDE and potentially other third party sources of data. Unless otherwise noted, (a) all items are derived from the Guide DR1GH07, CCC Data Date 4/14/2017, and potentially other third party sources of data; and (b) the parts presented are OEM-parts manufactured by the vehicles Original Equipment Manufacturer. OEM parts are available at OE/Vehicle dealerships. OPT OEM (Optional OEM) or ALT OEM (Alternative OEM) parts are OEM parts that may be provided by or through alternate sources other than the OEM vehicle dealerships. OPT OEM or ALT OEM parts may reflect some specific, special, or unique pricing or discount. OPT OEM or ALT OEM parts may include "Blemished" parts provided by OEM's through OEM vehicle dealerships. Asterisk (*) or Double Asterisk (**) indicates that the parts and/or labor data provided by third party sources of data may have been modified or may have come from an alternate data source. Tilde sign (~) items indicate MOTOR Not-Included Labor operations. The symbol (<>) indicates the refinish operation WILL NOT be performed as a separate procedure from the other panels in the estimate. Non-Original Equipment Manufacturer aftermarket parts are described as Non OEM, A/M or NAGS. Used parts are described as LKQ, RCY, or USED. Reconditioned parts are described as Recond. Recored parts are described as Recore. NAGS Part Numbers and Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR suggested labor operation times. NAGS labor operation times are not included. Pound sign (#) items indicate manual entries. Some 2017 vehicles contain minor changes from the previous year. For those vehicles, prior to receiving updated data from the vehicle manufacturer, labor and parts data from the previous year may be used. The CCC ONE estimator has a list of applicable vehicles. Parts numbers and prices should be confirmed with the local dealership. The following is a list of additional abbreviations or symbols that may be used to describe work to be done or parts to be repaired or replaced: SYMBOLS FOLLOWING PART PRICE: m=motor Mechanical component. s=motor Structural component. T=Miscellaneous Taxed charge category. X=Miscellaneous Non-Taxed charge category. SYMBOLS FOLLOWING LABOR: D=Diagnostic labor category. E=Electrical labor category. F=Frame labor category. G=Glass labor category. M=Mechanical labor category. S=Structural labor category. (numbers) 1 through 4=User Defined Labor Categories. OTHER SYMBOLS AND ABBREVIATIONS: Adj.=Adjacent. Algn.=Align. ALU=Aluminum. A/M=Aftermarket part. Blnd=Blend. BOR=Boron steel. CAPA=Certified Automotive Parts Association. D&R=Disconnect and Reconnect. HSS=High Strength Steel. HYD=Hydroformed Steel. Incl.=Included. LKQ=Like Kind and Quality. LT=Left. MAG=Magnesium. Non-Adj.=Non Adjacent. NSF=NSF International Certified Part. O/H=Overhaul. Qty=Quantity. Refn=Refinish. Repl=Replace. R&I=Remove and Install. R&R=Remove and Replace. Rpr=Repair. RT=Right. SAS=Sandwiched Steel. Sect=Section. Subl=Sublet. UHS=Ultra High Strength Steel. N=Note(s) associated with the estimate line. CCC ONE Estimating - A product of CCC Information Services Inc. The following is a list of abbreviations that may be used in CCC ONE Estimating that are not part of the MOTOR CRASH ESTIMATING GUIDE: BAR=Bureau of Automotive Repair. EPA=Environmental Protection Agency. NHTSA= National Highway Transportation and Safety Administration. PDR=Paintless Dent Repair. VIN=Vehicle Identification Number. 4/17/2017 7:12:20 AM Page 8

TILLEMAN MOTOR CO. You Win with Tilleman 4514 US Highway 2 W, Havre, MT Phone: (406) FAX: (406)

TILLEMAN MOTOR CO. You Win with Tilleman 4514 US Highway 2 W, Havre, MT Phone: (406) FAX: (406) TILLEMAN MOTOR CO You Win with Tilleman 4514 US Highway 2 W, Havre, MT 59501 Phone: (406) 395-6877 FAX: (406) 265-7875 Workfile ID: f846535b Written By: Doug Hollingshead Insured: Thompson, Colin Policy